Business Analyst – Remote in WA or NC

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.  

We are looking for talented individuals who are committed to service excellence and are passionate about detecting, analyzing and preventing provider issues. The PRC Data Analyst will be responsible for transforming detection analytics, through intaking leads for one and turning it into prevention of many abrasion moments through focused analytics on business intelligence tools, assuring data quality, conducting analysis on to distinguish patterns and recognize trends across Provider Operations. The PRC Data Analyst will engage with innovative solutions to enhance our business intelligence tools and improve our ability to detect in a real time manner preventing provider issues while improving the overall service experience. Through this process, the PRC Data Analyst will work to detect, root cause, size and facilitate resolution to prevent millions of moments of provider and member abrasion while minimizing healthcare costs.  

If you are located in Washington or North Carolina, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Act as the point of contact for provider leads, root cause analysis, sizing and facilitating end to end provider service
• Perform deep dive analysis to identify root cause failures and facilitate resolution plans
• Collaborate with internal and external business partners
• Identify innovative solutions for identification and root cause of complex leads
• Support/consult on project plans and business intelligence tools to guide operational strategy
• Escalate leads and roadblocks as appropriate, via email and/or verbally to varying audiences including regular meetings with leadership
• Work closely with business partners to enhance and continue to build our global partnership
• Retain self-proficiency (e.g. maintain/increase skills) of competencies related to service review areas and all claims processing systems

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 1+ years of experience in 1 or a combination thereof (Cosmos, CSP Facets, UNET, Pulse, Cirrus, NICE) to perform searches and claim lookup
• 1+ years of issue resolution experience
• 1+ years of experience in provider service, claim payments/adjustments, or service-related field
• Experience speaking with providers/customers for issue resolution
• Experience with process improvement, workflows, benchmarking and / or evaluation of business processes 
• Intermediate level of proficiency with PC based software programs (Excel, PowerPoint, Microsoft Word (creating documents) and Microsoft Outlook (drafting emails, calendar management)
• Proven excellent communication, time/project management, problem solving, organizational, and analytical skills
• Proven ability to perform deep dive analyses to identify root cause failures and develop remediation action plans for escalated provider issues
• Proven ability to work independently and/or collaborate with peers/business partners to meet competing priorities and deliverables
• Will reside in WA or NC
• Willing and able to travel up to 25% within a state of hire

Preferred Qualifications:

• 2+ years of experience in business/finance analysis collecting, analyzing, and presenting data and recommendations to management and or internal business partners
• Experience with provider practices, billings, and revenue cycles 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.